Thebemed Medical Aid Plans
Showing 4 of 4 plans
π₯ Best suited for individuals and families seeking comprehensive network-based hospital cover with insured day-to-day benefits.
π₯ Best suited for individuals and families seeking income based comprehensive hospital cover with insured day-to-day benefits through DSP.
The Fantasy plan offers comprehensive coverage for a variety of in and out-of-hospital treatments and procedures, a generous savings account, medical and orthopedic appliances, and other benefits.
The Energy plan provides comprehensive coverage at network hospitals, including GP and specialist consultations, chronic medicine, conservative and specialized dentistry, optometry, and other benefits.
Thebemed Medical Aid Scheme
Overall, Thebemed Medical Aid is a trustworthy and comprehensive medical aid plan that offers 24/7 medical emergency assistance and Chronic Illness Benefits for its Family Members. The Thebemed Medical Aid starts from R680 in 2026. π Thebemed Medical Aid offers the following plans:- β Thebemed Energy Medical Aid Plan
- β Thebemed Fantasy Medical Aid Plan
- β Thebemed Universal Medical Aid Plan
- β Thebemed Universal EDO Medical Aid Plan
| π₯ The average number of members | 10,000+ |
| π§ Number of Markets | 1 |
| π¨ Number of Employees | 150+ |
| π© Average Customer Rating | 2.1 |
| π¦ Average Number of Reviews | <10 |
| πͺ Market Share | <1% |
| π₯ The number of plans offered | 4 |
| π§ Number of Hospitals in Network | 150+ |
| π¨ Home care provided | β Yes |
| π© Medical Claims Portal | β Yes |
| π¦ Information Hub for COVID-19 | β Yes |
| πͺ Chronic Illness Benefits | β Yes |
| π₯ Number of PMB Diagnoses | 271 |
| π§ Number of PMB Chronic Conditions | 36 |
| π¨ Screening and Prevention offered | β Yes |
| π© Maternity Benefit | β Yes |
| π¦ Medical Aid Contribution Range (ZAR) | R680 β R3,490 |
| πͺ Average Waiting Period | 12 months |
| π₯ Late-joiner penalties charged | β Yes |
Thebemed Medical Aid - Analysis of Medical Aids' Main Features
- β Thebemed Medical Aid Overview
- β Thebemed β Advantages Over Competitors
- β How to apply for Medical Aid with Thebemed
- β How to Submit a Claim with Thebemed
- β Thebemed Medical Savings Account
- β How to Submit a Compliment or Complaint with Thebemed
- β How to Switch My Medical Aid to Thebemed
- β Thebemed Customer Support
- β Thebemed Pros and Cons
- β Thebemed vs Notable Competitors β A Comparison
- β Thebemed Customer Reviews
- β Our Verdict on Thebemed
- β Thebemed Frequently Asked Questions
Thebemed Medical Aid Overview
| π Plan | π΄ Contributions (Main) | π΅ Contributions (+ Adult) | πΆ Contributions (+ Child) |
| π₯ Universal EDO | R680 β R2,145 | R680 β R1,840 | R680 β R1,005 |
| π§ Universal | R820 β R3,155 | R820 β R2,970 | R820 β R1,225 |
| π¨ Energy | R3,490 | R3,300 | R580 |
| π© Fantasy | R2,545 | R2,080 | R1,045 |
ππΎ Read more about the Medical Aid Tariff Codes in South Africa β The Ultimate Guide
Medical Aid Thebemed β Advantages Over Competitors
- β Comprehensive Benefits: Thebemed provides a wide range of benefits, including hospital cover, chronic medication, and specialist consultations, among others. This comprehensive offering provides members with greater access to medical care and supports them in managing their health.
- β Competitive Pricing: Thebemed offers competitive pricing compared to other medical aid schemes in South Africa. This affordability allows members to access quality medical care without overburdening them financially.
- β No Co-payments on Hospitalisation: Thebemed offers a benefit that covers all hospitalization costs without co-payments. This is a valuable benefit as it relieves members of additional financial burdens during illness or injury.
- β Telemedicine and Wellness Programs: Thebemed offers a telemedicine service that enables members to consult with healthcare professionals remotely. Additionally, they offer wellness programs that give members access to support and resources for managing their health.
How to apply for Medical Aid with Thebemed
Medical Aid Quote Thebemed Medical Scheme process explained
To apply for Medical Aid through Thebemed, you must:- β Visit Thebemed website at www.thebemed.co.za.
- β On the website, click on the "Join Thebemed" button, which is located at the top of the page.
- β You will be directed to a page where you can select the type of membership that best suits your needs. Thebemed offers various membership options, including individual, family, and corporate membership.
- β Once you have selected your membership type, you will be asked to provide your details, including your name, contact information, and ID number.
- β You will also be required to provide information about your health status, including any pre-existing medical conditions you may have.
- β After submitting your application, a Thebemed representative will contact you to confirm your application and provide you with the necessary information about your membership.
How to Submit a Claim with Thebemed
To submit a claim with Thebemed, you can follow these simple steps:- β Before submitting a claim, ensure that you have all the necessary information required for the claim, including the service provider's details, date of service, and the amount charged.
- β Download and complete the relevant claim form from Thebemed's website or request a form from their customer service team.
- β Attach any relevant supporting documents, such as invoices or medical certificates, to the claim form.
- β Submit the claim form and supporting documents to Thebemed via email, fax, or post. Ensure you have included all the required information and that your claim form is signed.
- β Thebemed will process your claim within the specified timeframes, and you will receive notification of the outcome via email or post.
- β If your claim is approved, Thebemed will pay the relevant amount into your bank account or directly to the service provider.
Thebemed Medical Savings Account
π Thebemed offers one plan with a Medical Savings Account, namely the Fantasy plan. The Medical Savings Account (MSA) offers supplementary funds to supplement certain scheme benefits and cover additional medical expenses not covered by risk.
Thebemed Medical Savings Account Structure
| π Membership Level | π Risk | π΄ Savings contributed per month | π΅ Total Monthly Contribution |
| π€ Main Member | R2,290 | R255 | R2,545 |
| π₯ Adult Dependent | R1,870 | R210 | R2,080 |
| πΌ Child Dependent | R940 | R105 | R1,045 |
Thebemed Benefits that are paid from the MSA
The following benefits are subject to the MSA:- β GP Consultations
- β Emergency Visits
- β Pharmacy Advised Therapy (PAT)
- β Specialized Dentistry
How to Submit a Compliment or Complaint with Thebemed
To submit a compliment or complaint with Thebemed, you can follow these simple steps:- β Contact Thebemed: Contact Thebemed's customer service team via email, phone, or post to lodge your compliment or complaint. Provide your contact information and any relevant details, such as your membership number, the name of the staff member involved, and the details of the incident or issue.
- β Provide Details: Provide as much detail as possible about your compliment or complaint, including the nature of the issue, when it occurred, and any relevant parties involved.
- β Wait for Acknowledgment: Thebemed will acknowledge receipt of your compliment or complaint within the specified timeframes and provide you with a reference number for future correspondence.
- β Investigation: Thebemed will investigate your compliment or complaint and inform you of progress.
- β Resolution: Once the investigation is complete, Thebemed will provide you with a response and any remedial action taken. If your compliment or complaint is upheld, Thebemed will take the necessary steps to rectify the situation and ensure that it does not occur again.
How to Switch My Medical Aid to Thebemed
To switch your Medical Aid to Thebemed, you can follow these simple steps:- β Review your current medical aid plan to determine the level of coverage you currently have and the benefits you receive.
- β Consider your health needs and financial situation to determine whether switching to Thebemed is the right option. In addition, you must ensure that the level of coverage you choose is still adequate for your health needs.
- β Contact Thebemed's customer service team to discuss your options for switching your medical aid to Thebemed. The customer service team will guide you and provide the necessary information.
- β Complete the application form, which can be obtained from Thebemed's website or the customer service team. The form will require you to provide details about your current medical aid plan, including the name of your current medical aid scheme, your plan type, and your membership number.
- β Submit the completed application form to Thebemed via email, fax, or post. Ensure you have included all the required information and that the form is signed.
ππΎ Read more about 5 Best Medical Insurance for Kids
Thebemed Customer Support
To contact Thebemed Customer Support, you can use the following channels:- β Contact Thebemed Customer Support at 0861 84 32 36 or 011 544 8000. The customer support team can take your calls from Monday to Friday between 8 am and 5 pm and Saturdays from 8h30 am to 1h30 pm.
- β You can email Thebemed Customer Support at [email protected]. The customer support team will respond to your email as soon as possible.
- β You can complete the online contact form on Thebemed's website at https://www.thebemed.co.za/contact-us/. The form requires you to provide your name, contact details, and a brief message about your inquiry or concern.
Thebemed Pros and Cons
| β Pros | β Cons |
| Offers a range of healthcare plans that are designed to meet the needs of different individuals and families | A limited network of healthcare providers may impact the ability to access certain healthcare services or specialists |
| Focuses on providing affordable healthcare solutions to its members | Some members may find that the plans do not offer the level of coverage they require for certain healthcare needs, resulting in additional out-of-pocket expenses |
ππΎ POLL: The 5 Best Medical Aids with Value for Money
Thebemed vs Notable Competitors β A Comparison
| π Medical Aid Plan | π₯ Thebemed (2026) | π₯ SAMWUMed | π₯ POLMED |
| π Years in Operation | Since 2002 | 72 Years | 43 Years |
| π Average # Members | 10,000+ | 35,000+ | 200,000+ |
| π Number of Employees | 150+ | 100+ | 100+ |
| β‘οΈ Market Share | <1% | <1% | <10% |
| βͺοΈ Market Cover | South Africa | South Africa | South Africa |
| π °οΈ Customer Rating | 2.1 | 3/5 | 3 |
| π ±οΈ Number of reviews | <10 | 20+ | 200+ |
| βοΈ Mobile App | No | Yes | Yes |
| π΄ Contribution Range (ZAR) | R680β R3,490 | R1,728 β R3,998 ZAR | R1,364 ZAR β 4,139 ZAR |
Β Something to consider if you are below the age of 30 years:
ππΎ 5 Best Medical Aids in South Africa for Young Adults
Thebemed Customer Reviews
Prompt and Efficient. Earlier today, I called to obtain authorization for a doctor's visit. An agent promptly assisted me and efficiently resolved the matter. - Clive Mtsweni Excellent Service. Since becoming a member of Thebemed, I have received excellent service. The staff has consistently demonstrated promptness, politeness, and helpfulness, and using WhatsApp has been a particularly useful feature. Thank you for your continued assistance. - Ronald le Roux Great Assist. Following my submission of a complaint on the website regarding my unsuccessful attempts to remove the waiting period for my newly added daughter on the medical aid, Thebemed promptly responded with a call on the same day. The agent assured me that my case would be attended to and that she would review all previous telephone conversations with the client services team at the medical aid. As promised, the agent called two days later to inform me that the waiting period had been removed. - Albert Street
Our Verdict on Thebemed
π Thebemed is a South African medical aid provider that offers a variety of healthcare plans to meet the needs of individuals and families. The plans offer a range of benefits and services, including hospital cover, chronic medication benefits, and wellness programs. π One of the key advantages of Thebemed is its focus on providing affordable healthcare solutions to its members. The plans are designed to be accessible to many individuals with varying healthcare needs and financial situations. π The plans offer a range of benefits tailored to different members' needs, including comprehensive hospital cover, chronic medication benefits, and wellness programs. π Another advantage of Thebemed is its commitment to innovation and customer service. The scheme regularly updates its plans to meet the changing needs of its members and uses advanced technology to enhance the customer experience. π Members can access their benefits and claims information online. In addition, the scheme offers a range of digital tools to help members manage their healthcare needs. π One potential drawback of Thebemed is its limited network of healthcare providers. As a result, members may be limited in their choice of healthcare providers, impacting their ability to access certain healthcare services or specialists. π Additionally, some members may find that the plans do not offer the level of coverage required for certain healthcare needs, which could result in additional out-of-pocket expenses.
You might also like the following plans of Thebemed Medical Aid:
- Thebemed Energy Medical Aid Plan
- Thebemed Fantasy Medical Aid Plan
- Thebemed Universal Medical Aid Plan
- Thebemed Universal EDO Medical Aid Plan